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1659634392
LISA LORRAINE GROSS
SILVERDALE, WA
NPI
1659634392
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Former Name
LISA LORRAINE WALDBILLIG
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225700000X Massage Therapist
(Licence: WA MA 60264809)
Enumeration Date
2012-06-18
Last Update Date
2022-07-21
Business Address
LISA LORRAINE GROSS L.M.P.
3595 NW BUCKLIN HILL RD
SILVERDALE, WA 98383-8503
Phone number: 360-698-3140
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Mailing Address
LISA LORRAINE GROSS L.M.P.
PO BOX 483
SILVERDALE, WA 98383-0483
Phone number: 360-698-3140
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